Individual provider Active NPI

Benjamin Dean Snyder, O.D.

  • Optometrist
  • Fort Carson, CO
National Provider Identifier
1518374123
Registry record updated Aug 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT.0003075 Issued in CO
Practice address
1650 Cochrane Cir # B7500
Fort Carson, CO 80913-4604
Phone
(719) 526-7000
NPI assigned
Jul 15, 2014
Last updated
Aug 20, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT.0003075 CO Primary

Addresses

Primary practice location

1650 Cochrane Cir # B7500
Fort Carson, CO 80913-4604

Mailing address

1650 Cochrane Cir # B7500
Fort Carson, CO 80913-4604
Phone (719) 526-7000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, OH2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20170718001925 CO Practitioner - Optometry 8325318736 Reassigns benefits to 2 organizations
I20210121000957 OH Practitioner - Optometry 8325318736 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Peak View Optometry Fort Carson, LLC Optometrist CurrentSince Jan 1, 2023 Accepting new patients
Hills & Dales Vision Inc Optometrist CurrentSince Sep 10, 2020 Accepting new patients
Peak View Optometry South, PLLC Optometrist CurrentSince Jan 1, 2023 Accepting new patients
Peak View Optometry Peterson, PLLC Optometrist CurrentSince Jan 1, 2023 Accepting new patients
Peak View Optometry North, PLLC Optometrist CurrentSince Jan 1, 2023 Accepting new patients
Iron Sight Eye Care, PLLC Optometrist Current Accepting new patients
Northern Ohio Eye Consultants Inc Optometrist PastSince Sep 10, 2020 Accepting new patients

Locations

1030 E Stewart Ave
Bldg 20
Colorado Springs, CO 80914
Phone (719) 574-5252

353 N Academy Blvd
Colorado Springs, CO 80909
Phone (719) 559-2020

5885 Barnes Rd
Colorado Springs, CO 80922
Phone (719) 591-3009

7190 N Academy Blvd
Colorado Springs, CO 80920
Phone (719) 559-2020

6110 Martinez St
Ft Carson, CO 80913
Phone (719) 368-2446

1030 E Stewart Ave
Bldg 2017
Peterson AFB, CO 80914
Phone (719) 574-5252

4555 Hills and Dales Rd NW
Canton, OH 44708
Phone (330) 478-8996

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1405382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724112000000",
    "number": "1518374123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1650 COCHRANE CIR # B7500",
            "city": "FORT CARSON",
            "state": "CO",
            "postal_code": "809134604",
            "telephone_number": "719-526-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1650 COCHRANE CIR # B7500",
            "city": "FORT CARSON",
            "state": "CO",
            "postal_code": "809134604",
            "telephone_number": "719-526-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SNYDER",
        "first_name": "BENJAMIN",
        "middle_name": "DEAN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-07-15",
        "last_updated": "2024-08-20",
        "certification_date": "2024-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CO",
            "license": "OPT.0003075",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Carson, CO

Sources for this page

Verify at the official NPI Registry.